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Clinical characteristics and endoscopic treatment of hematospermia with postcoital hematuria

BACKGROUND: Recurrent hematospermia accompanied by postejaculatory hematuria is a very rare phenomenon, has not been well understood in the clinical setting, and usually leads to misdiagnosis and mistreatment. The aim of this study was to summarize the clinical characteristics, etiologic diagnosis,...

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Autores principales: Huang, Zao-Ming, Li, Yan-Feng, Wang, Qi, Zhang, Yong, Luo, Yong, Nie, Zhi-Lin, Li, Ke, Feng, Qing-Xing, Liu, Xu-Dong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7325095/
https://www.ncbi.nlm.nih.gov/pubmed/32600309
http://dx.doi.org/10.1186/s12894-020-00646-x
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author Huang, Zao-Ming
Li, Yan-Feng
Wang, Qi
Zhang, Yong
Luo, Yong
Nie, Zhi-Lin
Li, Ke
Feng, Qing-Xing
Liu, Xu-Dong
author_facet Huang, Zao-Ming
Li, Yan-Feng
Wang, Qi
Zhang, Yong
Luo, Yong
Nie, Zhi-Lin
Li, Ke
Feng, Qing-Xing
Liu, Xu-Dong
author_sort Huang, Zao-Ming
collection PubMed
description BACKGROUND: Recurrent hematospermia accompanied by postejaculatory hematuria is a very rare phenomenon, has not been well understood in the clinical setting, and usually leads to misdiagnosis and mistreatment. The aim of this study was to summarize the clinical characteristics, etiologic diagnosis, and endoscopic treatment of hematospermia with postcoital hematuria. METHODS: We collected the clinical data from 39 patients of hematospermia with postcoital hematuria, who were admitted to our hospital from May 2014 to October 2019. The etiologic diagnostic process and endoscopic surgery were analyzed retrospectively, and we observed and evaluated the efficacy and any complications during follow-up. RESULTS: The average age of the 39 patients was 44.1 years (range, 18–61 years), and the disease history ranged from 1 month to 20 years, with a median duration of 24 months. All of the patients were observed by urethrocystoscopy, which showed 38 cases of posterior urethral hemangioma (PUH) or abnormal varicose vessels, and 1 case of anterior urethral hemangioma. Of these, 18 patients underwent transurethral resection of urethral hemangioma, and 21 patients underwent transurethral electrocauterization. Postoperative follow-up ranged from 1 to 56 months, with a median of 16 months. The symptoms disappeared in 37 patients and recurred in 2 patients two to 3 months after the operation. The two recurrent patients were treated again by transurethral electrocauterization, and their symptoms then disappeared. CONCLUSIONS: PUH is the most common cause of hematospermia with postejaculatory hematuria. Herein, we demonstrated that transurethral resection or electrocauterization provides a safe, effective, and minimally invasive method for the treatment of PUH.
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spelling pubmed-73250952020-06-30 Clinical characteristics and endoscopic treatment of hematospermia with postcoital hematuria Huang, Zao-Ming Li, Yan-Feng Wang, Qi Zhang, Yong Luo, Yong Nie, Zhi-Lin Li, Ke Feng, Qing-Xing Liu, Xu-Dong BMC Urol Research Article BACKGROUND: Recurrent hematospermia accompanied by postejaculatory hematuria is a very rare phenomenon, has not been well understood in the clinical setting, and usually leads to misdiagnosis and mistreatment. The aim of this study was to summarize the clinical characteristics, etiologic diagnosis, and endoscopic treatment of hematospermia with postcoital hematuria. METHODS: We collected the clinical data from 39 patients of hematospermia with postcoital hematuria, who were admitted to our hospital from May 2014 to October 2019. The etiologic diagnostic process and endoscopic surgery were analyzed retrospectively, and we observed and evaluated the efficacy and any complications during follow-up. RESULTS: The average age of the 39 patients was 44.1 years (range, 18–61 years), and the disease history ranged from 1 month to 20 years, with a median duration of 24 months. All of the patients were observed by urethrocystoscopy, which showed 38 cases of posterior urethral hemangioma (PUH) or abnormal varicose vessels, and 1 case of anterior urethral hemangioma. Of these, 18 patients underwent transurethral resection of urethral hemangioma, and 21 patients underwent transurethral electrocauterization. Postoperative follow-up ranged from 1 to 56 months, with a median of 16 months. The symptoms disappeared in 37 patients and recurred in 2 patients two to 3 months after the operation. The two recurrent patients were treated again by transurethral electrocauterization, and their symptoms then disappeared. CONCLUSIONS: PUH is the most common cause of hematospermia with postejaculatory hematuria. Herein, we demonstrated that transurethral resection or electrocauterization provides a safe, effective, and minimally invasive method for the treatment of PUH. BioMed Central 2020-06-29 /pmc/articles/PMC7325095/ /pubmed/32600309 http://dx.doi.org/10.1186/s12894-020-00646-x Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Huang, Zao-Ming
Li, Yan-Feng
Wang, Qi
Zhang, Yong
Luo, Yong
Nie, Zhi-Lin
Li, Ke
Feng, Qing-Xing
Liu, Xu-Dong
Clinical characteristics and endoscopic treatment of hematospermia with postcoital hematuria
title Clinical characteristics and endoscopic treatment of hematospermia with postcoital hematuria
title_full Clinical characteristics and endoscopic treatment of hematospermia with postcoital hematuria
title_fullStr Clinical characteristics and endoscopic treatment of hematospermia with postcoital hematuria
title_full_unstemmed Clinical characteristics and endoscopic treatment of hematospermia with postcoital hematuria
title_short Clinical characteristics and endoscopic treatment of hematospermia with postcoital hematuria
title_sort clinical characteristics and endoscopic treatment of hematospermia with postcoital hematuria
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7325095/
https://www.ncbi.nlm.nih.gov/pubmed/32600309
http://dx.doi.org/10.1186/s12894-020-00646-x
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